MEDICARE: BEATRICE HYACINTHE LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	085335	NY
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770852907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRICE HYACINTHE LMSW

Provider Business Mailing Address
First Line	:	108 KENILWORTH PL FL 1
Second Line	:	SUITE 2
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2439
Country	:	US
Telephone Number	:	917-741-0810
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 KENILWORTH PL FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2439
Country	:	US
Telephone Number	:	347-627-8400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2011
Last Update Date	:	04/29/2020

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